sleeve gastrectomy in patients with bmi between 30 and 35 m. berry md, p. lamoza md, l. urrutia md,...
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Sleeve gastrectomy in patients Sleeve gastrectomy in patients with BMI between 30 and 35 with BMI between 30 and 35
Sleeve gastrectomy in patients Sleeve gastrectomy in patients with BMI between 30 and 35 with BMI between 30 and 35
M. Berry MD, P. Lamoza MD, L. Urrutia MD, A. Molina MD, E. Luna MD, F. Parra MD
Unit of Bariatric & Metabolic Surgery
Clinica Las Condes
Santiago – Chile
SAGES 2015
Nashville, TN, USA
IntroductionIntroductionIntroductionIntroduction
• The laparoscopic sleeve gastrectomy (LSG) is a bariatric procedure that has been extended to special cases with BMI under 35.
• The real benefit is under investigation, but previous studies have shown beneficial results and safety.
• We try to demonstrate that LSG can be performed safely in patients with BMI between 30-35 obtaining comparable results to severe and morbidly obese patients, with resolution of their comorbidities.
LSGLSGLSGLSG
• LSG became the most widespread procedure in our country with excellent results in weight loss and acceptable morbimortality
Methods and ProceduresMethods and ProceduresMethods and ProceduresMethods and Procedures
• Prospective study.
• We analyzed 474 patients from a universe of 1605 patients with LSG.
• Analyzing gender, age, comorbidities, preoperative BMI, EWL, EWL% and BMI postoperatively at 1,6,12,24 and 36 months, morbidity and mortality, (between 2006 and
2014.)
ResultsResultsResultsResults
BMI
33,57
27,00 27,02
0
5
10
15
20
25
30
35
40
Preoperative 24 months postop. 36 months postop.
Kg/
Mts
2
Comorbidities and RemissionComorbidities and RemissionComorbidities and RemissionComorbidities and Remission
0
50
100
150
200
250
300
350
400
Insulin Resistence Dyslipidemia Fatty Liver Disease Hypertension Obstructive Sleep
Apnea
Hyperuricemia Hypothyroidism Type 2 Diabetes
(T2DM)
Comorbiditites Remission
93%
90%
70%
70%
72%
82%*
* Improvement T2DM 18% (n:6)
MorbidityMorbidityMorbidityMorbidity
Morbidity n rate
Hemoperitoneum 5 1,0
Portal Vein Thrombosis 1 0,2
Bile Peritonitis (Lushka -cholecystectomy) 1 0,2
Leaks 0 0,0
Total Cases 7 1,4
ConclusionsConclusionsConclusionsConclusions
• Clearly, BMI is not the only indicator to consider bariatric and metabolic surgery; there are other variables to consider in a complete preoperative evaluation.
• Our results have shown that performing LSG in patients with BMI between 30 and 35 is safe
• The results are comparable or even better than those obtained in patients with severe or morbid obesity in terms of resolution of comorbidities and weight loss
• It will require further studies and longer follow-up.